| NPI | 1538366158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036163012) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MI 5101017411) |
| 207X00000X Orthopaedic Surgery (Licence: MN 106196) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: IL 036163012) | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: WI 518269) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2022-12-06 |